苏州市二级及以上医疗机构感控资源配置效率及投入冗余分析

Analysis on the Allocation Efficiency and Investment Redundancy of Infection and Control Resources of Secondary and Tertiary Hospitals in Suzhou

目的:对苏州市各区县二级及以上医疗机构感控资源的配置效率及投入冗余情况进行比较分析,为合理配置感控资源提供参考,以提高感控工作效率。方法:选取医疗机构床位数、感控人员数以及感控相关设备数作为投入指标,医院感染人数、住院人数、论文课题数为产出指标,采用DEA模型和Malmquist指数模型对2020-2022年苏州市医疗机构感控资源配置效率及投入冗余进行比较分析。结果:3年间苏州市感控资源投入增加,2022年苏州市平均综合效率为0.84,仅有3个区县为DEA有效;2020-2022年感控资源平均全要素生产率均值为0.996,降幅为4.61%,技术进步变化率为-6.50%;仅3个区县资本、人员零冗余;2个区县资本、人员低冗余。结论:苏州市感控资源配置效率较低,总体呈下降趋势;技术进步是制约配置效率的主要因素;多数区县存在感控资源投入冗余、产出不足问题。应提高感控资源投入质量,优化资源配置结构,以提高资源配置效率。

Objective:To compare and analyze the allocation efficiency and investment redundancy of infection prevention and con⁃trol resources in secondary and tertiary hospitals in Suzhou,so as to provide reference for rational allocation of infection prevention and control resources and improve the efficiency of infection prevention and control management.Methods:The number of beds,infection management personnel and infection-related equipment in medical institutions were selected as input indicators,the number of hospi⁃tal infections,hospitalizations,and dissertations and projects were taken as output indicators.The DEA model and Malmquist index model were employed to compare and analyze the allocation efficiency and input redundancy of infection prevention and control re⁃sources in healthcare institutions in Suzhou from 2020 to 2022.Results:In the period of 2020 to 2022,there was an increase in the in⁃vestment of infection prevention and control resources in Suzhou,and the average overall allocation efficiency in 2022 was 0.84,and on⁃ly 3 districts and counties were DEA effective.In addition,the average TFP of infection prevention and control resources was 0.996 with a decrease of 4.61%as well as a decline rate of 6.50%in technological progress.From the perspective of investment redundancy,only 3 districts and counties belonged to zero redundancy areas and 2 districts and counties belonged to low redundancy areas.Conclusion:In Suzhou,the allocation efficiency of infection prevention and control resources was relatively low with an overall downward trend and was mainly constrained by technological development.Besides,most of the districts and counties suffered from redundant in⁃vestment resources and insufficient outputs.The quality of infection prevention and control resources inputs should be improved,and the structure of resource allocation should be optimized in order to improve the efficiency of resource allocation.